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Pediatric stroke in an African country
BACKGROUND: The pattern of pediatric stroke displays ethnic and geographical variations. There are few reports from black Sub-Saharan Africa, although relevant data are important in prevention, clinical diagnosis, treatment and prognostication. AIM: To describe subtypes, risk factors, localization,...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964794/ https://www.ncbi.nlm.nih.gov/pubmed/21042501 http://dx.doi.org/10.4103/1817-1745.66676 |
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author | Ogeng’o, Julius Alexander Olabu, Beda O. Mburu, Anne N. Sinkeet, Simeon R. |
author_facet | Ogeng’o, Julius Alexander Olabu, Beda O. Mburu, Anne N. Sinkeet, Simeon R. |
author_sort | Ogeng’o, Julius Alexander |
collection | PubMed |
description | BACKGROUND: The pattern of pediatric stroke displays ethnic and geographical variations. There are few reports from black Sub-Saharan Africa, although relevant data are important in prevention, clinical diagnosis, treatment and prognostication. AIM: To describe subtypes, risk factors, localization, age and gender distribution of pediatric stroke in the black Kenyan population. STUDY DESIGN AND SETTING: Retrospective cross-sectional study in a single regional referral and teaching hospital. STATISTICAL ANALYSIS: Data were analyzed by SPSS version 13.0 for Windows and presented in tables and bar and pie charts. MATERIALS AND METHODS: The study was performed at the Kenyatta National Hospital, a level-6 regional referral health facility with an annual pediatric in-patient turnover of about 40,000 patients. Files of patients aged 1 month to 18 years over a period of 5 years were analyzed for stroke subtypes, localization, risk factors, age and sex distribution. Only those files with complete information were included. RESULTS: Thirty-two of the 712 stroke patients (4.5%) were pediatric. The male:female ratio was 1.7:1. Ischemic stroke comprised 56.3% (n = 18). Mean age was 7.7 years (range, 1.5–18 years). The most common sites were cortical (51%), lacunar (41%) and brain stem (8%). The most common risk factors were connective tissue disorders (28.1%), heart disease (25%), human immunodeficiency virus (9.4%) and infection (9.4%). CONCLUSION: Pediatric stroke is not uncommon in the Kenyan population. The risk factor profile comprising connective tissue disorders and infection differs from that reported in other populations, inviting large community-based studies. |
format | Text |
id | pubmed-2964794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-29647942010-11-01 Pediatric stroke in an African country Ogeng’o, Julius Alexander Olabu, Beda O. Mburu, Anne N. Sinkeet, Simeon R. J Pediatr Neurosci Original Article BACKGROUND: The pattern of pediatric stroke displays ethnic and geographical variations. There are few reports from black Sub-Saharan Africa, although relevant data are important in prevention, clinical diagnosis, treatment and prognostication. AIM: To describe subtypes, risk factors, localization, age and gender distribution of pediatric stroke in the black Kenyan population. STUDY DESIGN AND SETTING: Retrospective cross-sectional study in a single regional referral and teaching hospital. STATISTICAL ANALYSIS: Data were analyzed by SPSS version 13.0 for Windows and presented in tables and bar and pie charts. MATERIALS AND METHODS: The study was performed at the Kenyatta National Hospital, a level-6 regional referral health facility with an annual pediatric in-patient turnover of about 40,000 patients. Files of patients aged 1 month to 18 years over a period of 5 years were analyzed for stroke subtypes, localization, risk factors, age and sex distribution. Only those files with complete information were included. RESULTS: Thirty-two of the 712 stroke patients (4.5%) were pediatric. The male:female ratio was 1.7:1. Ischemic stroke comprised 56.3% (n = 18). Mean age was 7.7 years (range, 1.5–18 years). The most common sites were cortical (51%), lacunar (41%) and brain stem (8%). The most common risk factors were connective tissue disorders (28.1%), heart disease (25%), human immunodeficiency virus (9.4%) and infection (9.4%). CONCLUSION: Pediatric stroke is not uncommon in the Kenyan population. The risk factor profile comprising connective tissue disorders and infection differs from that reported in other populations, inviting large community-based studies. Medknow Publications 2010 /pmc/articles/PMC2964794/ /pubmed/21042501 http://dx.doi.org/10.4103/1817-1745.66676 Text en © Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ogeng’o, Julius Alexander Olabu, Beda O. Mburu, Anne N. Sinkeet, Simeon R. Pediatric stroke in an African country |
title | Pediatric stroke in an African country |
title_full | Pediatric stroke in an African country |
title_fullStr | Pediatric stroke in an African country |
title_full_unstemmed | Pediatric stroke in an African country |
title_short | Pediatric stroke in an African country |
title_sort | pediatric stroke in an african country |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964794/ https://www.ncbi.nlm.nih.gov/pubmed/21042501 http://dx.doi.org/10.4103/1817-1745.66676 |
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